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The relationship between perfectionism and symptoms of depression in medical school applicants

机译：医学院申请者的完美主义与抑郁症状之间的关系

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The association between perfectionism and depression in the medical profession can ultimately influence physicians’ performance negatively. In medical students, especially maladaptive perfectionism is connected with distress and lower academic performance. The expression of perfectionism and symptoms of depression at the time of medical school application is not known. Therefore, we explored perfectionism and symptoms of depression in participants of multiple mini-interviews for medical school admission and investigated possible differences between applicants who were eventually admitted or rejected. After the multiple mini-interviews admission procedure at Hamburg Medical School in August 2018, 146 applicants filled out a questionnaire including sociodemographic data and the following validated instruments: Multidimensional Perfectionism Scale by Hewitt and Flett (MPS-H), Multidimensional Perfectionism Scale by Frost (MPS-F), Patient Health Questionnaire (PHQ-9), Generalized Anxiety Disorder Scale (GAD-7), and a 10-item version of the Big Five Inventory (BFI-10). The two groups of admitted and rejected applicants were compared and the correlation between symptoms of depression and perfectionism further explored. The admitted applicants were significantly more extrovert and had lower depression scores compared to the rejected applicants. In both groups, the composite scales of Adaptive Perfectionism (r?=?.21, p?=?.011) and Maladaptive Perfectionism (r?=?.43, p??.001) as well as their components correlated significantly with the PHQ-9 results. Maladaptive Perfectionism accounted for about 18% of variance in the PHQ-9 score. Rejected medical school applicants who participated in a multiple mini-interviews admission procedure showed higher levels of depression symptoms than admitted applicants. The degree of depressive symptoms can be partly explained by Maladaptive Perfectionism scores. Since coping in medical school and in postgraduate medical education require robust mental health, perfectionism questionnaires could be an additional tool in medical school selection processes.
机译：完美主义与医学界的抑郁症之间的联系最终会对医生的表现产生负面影响。在医学专业的学生中，尤其是适应不良的完美主义与苦恼和较低的学业成绩有关。在医学院申请时，完美主义的表达和抑郁的症状尚不清楚。因此，我们探讨了医学院入学的多次微型面试参与者的完美主义和抑郁症状，并调查了最终被录取或拒绝的申请人之间可能存在的差异。在2018年8月汉堡医学院进行多次迷你面试入学程序后，有146名申请人填写了一份问卷，包括社会人口统计学数据和以下经过验证的工具：休伊特和弗莱特（MPS-H）的多维完美主义量表（Frost的多维完美主义量表（MPS-H）（ MPS-F），患者健康调查表（PH​​Q-9），广泛性焦虑症量表（GAD-7）和10个项目的五大库存量表（BFI-10）。比较了两组被录取和被拒绝的申请人，并进一步探讨了抑郁症状与完美主义之间的相关性。与被拒绝的申请者相比，被录取的申请者外向得多，抑郁得分更低。在两组中，适应性完美主义（r？= ?. 21，p？= ?. 011）和适应不良完美主义（r？= ?. 43，p？

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